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General NPI Number Information
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NPI Number | 1891732921
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Entity Type | Organization
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Legal Business Name | ADMIRAL HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 4010 WATSON PLAZA DRIVE SUITE 150
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City | LAKEWOOD
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State | CA
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Zip | 90712-4042
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Country | US
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Telephone | 562-421-0777
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Fax | 562-421-0770
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Provider Business Mailing Address
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Address Line | 4010 WATSON PLAZA DRIVE SUITE 150
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City | LAKEWOOD
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State | CA
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Zip | 90712-4047
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Country | US
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Telephone | 562-421-0777
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Fax | 562-421-0770
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Authorized Official
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Title or Position | CEO
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Name | MR. KAMRAN JAHANGARD MAHBOOB
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Credential |
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Telephone | 818-652-8297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 980000974
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License Number State | CA
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